BROOK WHITAKER (NPI# 1043783673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043783673 |
| Entity Type | Individual |
| Full Name | BROOK WHITAKER |
| Credential | FNP-C |
| Practice Address |
4011 S. Monroe Medical Park Blvd Bloomington IN 47403 |
| Mailing Address |
421 S. Landmark Avenue Bloomington IN 47403 |
| Practice Telephone | 8128250844 |
| Practice Fax Number | 8128250782 |
| Mailing Telephone | 8126763000 |
| Mailing Fax Number | 8123313311 |
| Enumeration Date | 2019-01-07 |
| Last Update Date | 2019-01-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 28220902A | IN | Nursing Service Providers |
| Street Address |
4011 S. MONROE MEDICAL PARK BLVD |
| City | BLOOMINGTON |
| State | IN |
| Zip Code | 47403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598251175 | Jacob Edward Lundorf | Nurse Practitioner | 2100 S Liberty Dr Ste B, Bloomington, IN 47403 | 2018-07-06 |
| 1568973717 | Gregory Thomas Dougan | Physician Assistant | 418 South Landmark Avenue, Bloomington, IN 47403 | 2017-10-16 |
| 1295276160 | Indiana Center for Recovery, LLC | Substance Abuse Rehabilitation Facility | 1004 W 1st Street, Bloomington, IN 47403 | 2017-03-13 |
| 1144694217 | Kayla Dewolf | Specialist/Technologist | 1471 W Allen St, Bloomington, IN 47403 | 2015-11-30 |
| 1164806444 | Monroe Hosoital | General Acute Care Hospital | 4011 Monroe Medical Park, Bloomington, IN 47403 | 2015-07-16 |
| 1821411588 | Jennifer Turner | Occupational Therapy Assistant | 1023 West Main St, Swiss Villa, Vevay, IN 47403 | 2014-01-30 |
| 1104170232 | Kendall Basore | Social Worker | 445 S. Landmark Ave., Bloomington, IN 47403 | 2012-10-26 |
| 1568715886 | Indiana Hearing LLC | Hearing Aid Equipment | 2019 S Liberty Dr, Bloomington, IN 47403 | 2012-10-24 |
| 1679870232 | Accurate Hearing Services | Clinic/Center | 1355 W Second St, #3, Bloomington, IN 47403 | 2011-02-17 |
| 1528369428 | Center for Optimal Health | Obstetrics & Gynecology | 415 W First Street, Bloomington, IN 47403 | 2010-11-09 |
| Find all providers in zip 47403 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255945820 | Frederick G Varney | Registered Nurse | 10300 Devonshire Cir Apt D127, Bloomington, MN 55431-3178 | 2020-09-01 |
| 1972121788 | Yihua Kehrer | Registered Nurse | 5532 W 104th St, Bloomington, MN 55437-2735 | 2020-07-08 |
| 1104441419 | Yomara Crespo Ortiz | Registered Nurse | 8600 Old Cedar Ave S Apt 106, Bloomington, MN 55425-2019 | 2020-06-11 |
| 1841826328 | Shelly Vice | Registered Nurse | 1932 S Oakdale Dr, Bloomington, IN 47403-2985 | 2020-03-17 |
| 1396370938 | Julia Osiemo | Registered Nurse | 9031 Emerson Ave S, Bloomington, MN 55420-3426 | 2020-03-04 |
| 1740811181 | Tenzin Norbu | Registered Nurse | 10608 Verdi Rd, Bloomington, MN 55431-4149 | 2020-02-03 |
| 1881150092 | Maribel Zhicay-garcia | Registered Nurse | 100 W 96th St Apt 3c, Bloomington, MN 55420-4326 | 2019-02-12 |
| 1679074850 | Thomas Osebe Morwabe | Registered Nurse | 9005 Old Cedar Ave S Apt 104, Bloomington, MN 55425-2326 | 2018-02-23 |
| 1467971374 | Tsewang Rinzin | Registered Nurse | 9224 Elliot Ave S, Bloomington, MN 55420-3852 | 2017-09-12 |
| 1215454715 | Ellington M Currie | Registered Nurse | 315 Avenue F, Bloomington, IL 61704-7415 | 2017-08-24 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 47403 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.